Late Adulthood
Biosocial
Cognitive
Psychosocial
Death and Dying
Ageism
Self perception is crucial
Insomnia
Elderspeak
Destructive Protection
Demographic Shift
Young-old
Mid-old
Old-old
Selective Optimization with Compensation
Sex
"Grounded Theory"
Older adults experience many changes in sex life
Many find other ways to share love
Driving
Elderly drivers have fewer accidents than 20-year-olds
Few older drivers notice the impact of their losses
Older people change driving habits to compensate for losses in abilities
Every sense becomes slower and less sharp with each passing decade
Vision can be affceted by cataracts,. glaucoma, and macular degeneration
High frequencies are lost more quickly than low frequencies when hearing changes
Universal Design
Primary aging
Secondary aging
Health and treatments are influenced by age
Compression of morbidity
Osteoporosis
Theories of aging
Wear and tear theory
Calorie restriiction increases life-span of many organisms
Genetic Clock
Cellular aging
Hayflick Limit
Telomeres
Centarians
Aging Brain
Neurocognitive Disorders
New Cognitive Development
Slower thinking
Shrinkage of brain
Gray matter decreases
Transmission of impulses is disrupted
High SES correlates with less cognitive decline
Multitasking becomes less common
Switch-cost
Source-amnesia
Input and Output are affected by aging
Ecological Validity
Major neurocognitive disorder (major NCD)
Alzheimer’s disease (AD)
Plaques
Tangles
Vascular Disease "multi infarct dementia"
Frontotemporal NCDs
Parkinson’s disease
"Lewy body disease"
Reversible Neurocognitive Disorder
Depression
Malnutrition
Polypharmacy
Self-Acutalization
Learning is still possible
Older adults can pick up new, creative hobbies such as art, music, etc.
When motivated, adults can learn
Life review
Wisdom does not always come with age
Theories
Activities
Self theories
Stratification Theories
Integrity verus Despair
Socioemotional Selectivity Theory
Compulive hoarding
Positivity effect
Gender stratification
Ethnic stratification
Income stratification
Age stratification
Disengagement Theory
Activity Theory
Working
Paid work
Retirement
Volunteer work
Age in place
NAturall occuring retirement community
Older adults attend fewer religious services than do the middle-aged, but faith and praying increase
Most elders are very political
Filial Responsibility
Friends and family are important
Remote grandparents, companionate grandparents, involved grandparents, surrogate parents
Frail Elderly
Terminal Decline
Difficulty in ADLs and IADLs
Sarcopenia
Caring for frail elderly
Integrated care
Elder abuse
Long term care
Alternative Care
Death and Hope
Choices in Dying
Affirmation of Life
Cultural and religious differences
Terror management theory
Understanding of death is influenced by age and cognitive development
Legacy work
Near-death experience
A good death
Modern medicine makes a good death more likely
Honest conversation
Maslow's "Self-transcendence"
Hospice
Palliative care
Double effect (ex:morphine)
Ethics
Passive euthanasia
DNR order
Active Euthanasia
Physician assisted suicide
Advanced directives
Living will
Healthcare proxy
Grief
Normal grief
Complicated grief
Absent grief
Disenfranchised grief
Incomplete grief
Mourning
Placing blame
Finding meaning
Continuing bonds
A person's experience with bereavement is dependent on many factors